ER Visit (level 3) at Trinitas Regional Medical Center
225 Williamson St, Elizabeth, NJ · RWJBarnabas Health · · NPI 1770583999
$424.38
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$2,261.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$36.71 with Wellpoint vs $1,562.00 with United Healthcare — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Wellpoint | NJ Family Care | $36.71 | ↓ -91% |
| Humana | Medicare | $302.61 | ↓ -29% |
| Wellpoint | Medicare Advantage | $302.61 | ↓ -29% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $302.61 | ↓ -29% |
| Fidelis Care | Medicare Advantage | $302.61 | ↓ -29% |
| Aetna | Medicare | $302.61 | ↓ -29% |
| Clover Health | Medicare Advantage | $302.61 | ↓ -29% |
| United Healthcare | Medicare | $308.66 | ↓ -27% |
| United Healthcare | Community Plan | $339.60 | ↓ -20% |
| Aetna | Better Health | $371.93 | ↓ -12% |
| Qualcare Inc | HMO/POS/PPO/WC | $377.75 | ↓ -11% |
| Amerihealth | Regional Preferred | $458.00 | ↑ +8% |
| Amerihealth | Local Value | $458.00 | ↑ +8% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $491.84 | ↑ +16% |
| Wellcare | Ambetter Health Commercial | $602.19 | ↑ +42% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $759.19 | ↑ +79% |
| Emblem Health | Commercial | $875.00 | ↑ +106% |
| Aetna | HMO | $1,056.00 | ↑ +149% |
| Aetna | PPO | $1,056.00 | ↑ +149% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $1,147.00 | ↑ +170% |
| United Healthcare | Oxford Metro | $1,180.00 | ↑ +178% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $1,196.01 | ↑ +182% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $1,251.87 | ↑ +195% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $1,266.30 | ↑ +198% |
| United Healthcare | Nexus | $1,328.00 | ↑ +213% |
| Cigna | HMO | $1,330.00 | ↑ +213% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $1,339.00 | ↑ +216% |
| First Health | Commercial | $1,356.60 | ↑ +220% |
| United Healthcare | Oxford Commercial | $1,388.00 | ↑ +227% |
| Cigna | PPO | $1,401.00 | ↑ +230% |
| United Healthcare | Commercial | $1,562.00 | ↑ +268% |
Visitor-reported prices
Comments
ER Visit (level 3) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Cooperman Barnabas Medical Center | Livingston | $491.81 | $310.65 – $1,446.00 |
| Community Medical Center | Toms River | $468.93 | $302.61 – $1,600.00 |
| Clara Maass Medical Center | Belleville | $482.92 | $310.65 – $1,387.00 |
| Newark Beth Israel Medical Center | Newark | $483.46 | $37.79 – $1,387.00 |
| Jersey City Medical Center | Jersey City | $469.83 | $47.51 – $1,387.00 |
| Monmouth Medical Center | Long Branch | $494.70 | $306.48 – $1,387.00 |
| Bayshore Medical Center | Holmdel | $306.48 | $306.48 – $1,787.00 |
| Hackensack University Medical Center | Hackensack | $326.08 | $118.01 – $1,944.00 |